A collection of first-person case studies that detail serious ethical problems in medical practice and research.

Face aux catastrophes annoncées, aux risques d'effondrements et aux désarrois qu'ils suscitent, est apparu en France depuis 2015 une « bataille des récits » où s'entremêlent études scientifiques, travaux de vulgarisation, mais également communautés et collectifs affinitaires. Les « grands récits » des XIXe et XXe siècles ayant fait faillite, il est courant d'entendre aujourd'hui que de nouveaux récits collectifs doivent émerger. Ils répondraient aux inquiétudes et redonneraient de l'espoir, leur conférant alors un potentiel quasi magique. Ce faisant, ils entraînent (...) alors des stratégies et des politiques différentes, voire opposées. Ce livre décode les fonctions et les puissances politiques du récit et ses enjeux, décrypte et compare les récits d'effondrements afin d'en comprendre les origines, les vertus, les crispations et les affects qu'ils brassent. Il rappelle également que la question des limites est un souci écologique essentiel et une responsabilité collective. (shrink)

In France a difference has been established between cultural popularization and cultural democracy. The former is aimed at spreading works of art in as large a way as possible; the latter emphasizes the participation of the public. From there, we argue that moving from cultural popularization towards cultural democracy can lead to a shift in responsibilities from professionals towards the general public. With reference to the theoretical background of reception, appropriation and participation, we lead a participant observation on three different (...) fields in order to understand what facilitates and what constrains this shift. This leads us to stress the importance of developing an adequate organizational framework. (shrink)

Letters commenting on Hardwig, J "Is There a Duty to Die?" with a reply to those letters by the author.

In France a difference has been established between cultural popularization and cultural democracy. The former is aimed at spreading works of art in as large a way as possible; the latter emphasizes the participation of the public. From there, we argue that moving from cultural popularization towards cultural democracy can lead to a shift in responsibilities from professionals towards the general public. With reference to the theoretical background of reception, appropriation and participation, we lead a participant observation on three different (...) fields in order to understand what facilitates and what constrains this shift. This leads us to stress the importance of developing an adequate organizational framework. (shrink)

L’histoire de la métaphysique à Genève pendant l’époque moderne est liée à la figure de David Derodon (c. 1600-1664), philosophe et théologien calviniste français. Il soutient que la métaphysique est la science de l’étant commun aux corps et aux esprits et que, pour cette raison, elle doit être distinguée de la pneumatique et de la somatique. Il s’agit, en d’autres termes, d’une métaphysique fortement « ontologisée » qui traite des choses neutres. Le but de cet article est de montrer la (...) diffusion de cette définition de la France à la Suisse jusqu’à son emploi par le cartésien Jean-Robert Chouet (1642-1731), professeur à la célèbre Académie de Genève fondée par Calvin en 1559. Chouet va encore plus loin en donnant une dénomination nouvelle à cette version de la métaphysique, qui est celle d’ontologie (ou ontosophia ), et en y introduisant le cogito cartésien. (shrink)

Jean de Jandun et Walter Burley, commentateurs des œuvres de Aristote et d’Averroès à l’Université de Paris aux xiiie et xive siècles, juxtaposent à la lettre les enseignements de leurs sources au risque d’aboutir à des théories problématiques. Pour décrire le mouvement substantiel de la génération, ils retiennent d’Aristote les principes métaphysiques de la matière, la forme et la privation, et leur ajoutent la problématique introduite par les philosophes arabes de la possible corporéité et de la quantification de la matière (...) par des dimensions indéterminées qui en sont inséparables. Cette quantification devient nécessaire pour faire de la matière un sujet adéquat au changement substantiel. Pourtant, la nature quantitative de la matière demeure indéfinissable et met en péril la théorie médiévale de la génération.John of Janduno and Walter Burley, commentators of the works of Aristotle and Averroës at the University of Paris during the thirteenth and fourteenth centuries, literally juxtapose the teachings of their sources, running the risk of leading to problematic theories. To describe the fundamental movement of the generation, they retain Aristotle’s metaphysical principles of matter, form and privation, and add the questions introduced by the Arab philosophers regarding the possible corporeality and quantification of matter by inseparable undetermined dimensions. This quantification becomes necessary to make the matter a subject susceptible to substantial change. However, the quantitative nature of the matter remains elusive and jeopardizes the medieval theory of the generation. (shrink)

L’excellent ouvrage de Pascale Barthélémy constitue un nouveau titre, très bienvenu, dans la floraison d’études dévolues à ce que Gregory Mann a appelé « la relation contrainte particulière » entre la France et l’Afrique. Pascale Barthélémy s’est penchée sur la petite minorité d’Africaines – à peine un millier au total – issues de la fédération d’Afrique Occidentale Française (AOF) et formées par les Français pour devenir sages-femmes, infirmières-visiteuses (jusqu’en 1938) ou encore institut...

In lieu of an abstract, here is a brief excerpt of the content:The 2005 Meeting of the Society for Buddhist-Christian StudiesFrances S. Adeney, SecretaryThe annual meeting of the Society for Buddhist-Christian Studies was held in Philadelphia on November 18, 2005. The theme of the program was visual and aural expressions in Christianity and Buddhism and their relationship to religious practice.The focus of the first session was visual images of sacred art. Victoria Scarlett presented the paper "The Iconography of Compassion: Visualizing (...) Guanyin and the Virgin Mary." She noted that meditation exercises that explore visual imagery can mediate the experience of the holy in both Buddhism and Christianity. By comparing and contrasting the images of Guanyin and the Virgin Mary through both commentary and slides, she pointed toward the qualities of compassion, healing, empathy, generosity, and selfless love presented in both Buddhism and Christianity. Scarlett stressed the role of visualization in generating compassion and taking responsibility for cultivating and living the devotional life. Engaging the religious imagination in those visual ways, she said, can help us generate compassion in our world today.Alice Keefe presented the second paper, "The Visual Dimension of Religion in Comparative Perspective." She challenged the assumption that visual experience is a derived or secondary aspect of religious life. As Tibetan Buddhism clearly shows, through its depiction of Buddhas, lamas, bodisattvas, and deities, the divine is form as well as formless. In Christian Orthodox traditions, the icon is viewed as material and glory, the transcendent visible to the human eye. Visual images in both Buddhist and Christian traditions indicate the possibility of transformation as one imagines one's own body as a body of light.Keefe challenged us to bring the centrality of the visual in Buddhism and some portions of Christianity into our academic discussion. Western thinkers present the body in opposition to the spiritual, sometimes understanding images as idolatrous. We assume that the generative locus of meaning is in the subjective consciousness and seek out ideas, ignoring the body. However, communicating an idea is not the [End Page 181] object of visual attention to an icon—rather, it involves the constitution of a self in relation to others. Through practices that activate the visual dimension of religions, we come to know ourselves as part of a pantheon of beings.Rita Gross responded to both papers, focusing on the biases of Western religion in the study of Buddhism. The prohibition of idolatry in Western religion has been identified with the sense of sight, rather than hearing or the use of words. Furthermore, idolatry is always a category defined by outsiders, Gross asserted. People who use the sense of sight to reach beyond themselves to the sacred know what they are doing. The papers and visual images presented gave the attendees insight into how that might happen in Buddhism and Christianity.Michael Monhart and Jisho Shizuka opened the second session with their presentation of "Chanting as Practice: Japanese Shingon Buddhist Sutra Chant." After a brief history of the Shingon sect, the presenters focused on a central aspect of Shingon chanting practice: a realization of one's inherent Buddha-nature in this life. Through activating the mysteries of the ritual activities of the body, voice, and mind, chanting develops the specific connection between Buddha-nature and human nature. An explanation of the chanting itself—its modes, patterns, and energies—led to the conclusion that sound and word become reality through their use by the practitioner of ritual, a conclusion that was demonstrated by the chanting of three sutras.Bill McJohn and Joseph Anderson next presented their work, "The Aural Dimension of Religion: Chanting Psalms in Gregorian Chant." McJohn focused on the history of chanting the Psalter, beginning in the monasteries of the fourth century. Singing the Psalms was motivated by a desire to pray constantly, and as the monastic communities developed, a practice of working through the 150 psalms developed. A shorter version, which eventually became the rosary, also developed. Anderson noted that the recitation of the Psalms is the analog to Buddhist chanting of the sutras. One is actually speaking as the Christ in recitation of the Psalms. Both also find a balance between time and timelessness as they are re-created in different ways... (shrink)

The method chosen here draws on concepts borrowed from sociology and anthropology. This double conceptual approach is necessary for a society divided between values inherited from medieval Christianity and precapitalist practices. Seventeenth-century France did not think of itself as a class society but as a society of orders. Since sociology is a system of knowledge whose concepts are taken from an imaginary construct, it is thus more suited to analyzing bourgeois society than societies in transition.6 In trying to measure the (...) past with the aid of tools forged in and for contemporary societies, the sociologist runs the risk of only measuring an artifact, produced by his theories in the field of history. Hence the need for the anthropological concepts, including the notion of exchange, among others, whether material , symbolic , or sexual .This approach will bring to light the contradictions underlying the society of the ancient régime. Whereas an ordinary sociohistorical approach views the reign of Louis XIV as unified under a dogmatic classicism, the socioanthropological approach stresses the tensions and oppositions running through this society. Classicism appears then as a façade covering up the change that it cannot imagine. This “spectacle”7 makes it possible to unite contradictory social practices, both those produced by consumption and which originate in the medieval economy and those belonging to the early accumulation of capital which sketch future bourgeois economic practices. 6. See Cornelius Catoriadis, The Imaginary Institution of Society, trans. Kathleen Blamey .7. See Guy Debord, Society of the Spectacle, rev. English ed. . Jean-Marie Apostolidès is professor of French literature at Stanford University. His publications include Le roi-machine, Les metamorphoses de Tintin, and Le prince sacrifié. Alice Musick McLean, a Ph.D. student at the University of Chicago, is specializing in medieval narrative and the literature of the fantastic. (shrink)

The concept of continuing professional development (CPD) for teachers combines issues of training, recognition, and professional effectiveness. In this article, we examine the conditions and effects of the implementation of CPD policies at the international and national levels, before looking comparatively at concrete CPD training provision in two “academies” in France. We seek to identify certain conditions for the renewal of in-service teacher training engineering devices and, more broadly, to document major contemporary issues for the teaching profession: attractiveness, recognition, renewal, (...) mobility, and professional development. (shrink)

Background The first COVID-19 wave started in February 2020 in France. The influx of patients requiring emergency care and high-level technicity led healthcare professionals to fear saturation of available care. In that context, the multidisciplinary Ethics- Support Cell (EST) was created to help medical teams consider the decisions that could potentially be sources of ethical dilemmas. Objectives The primary objective was to prospectively collect information on requests for EST assistance from 23 March to 9 May 2020. The secondary aim was (...) to describe the Cell’s functions during that period. Research design This observational, real-time study of requests for Cell consultations concerned ethical dilemmas arising during a public health crisis. The EST created a grid to collect relevant information (clinical, patient’s/designated representative’s preferences and ethical principles strained by the situation), thereby assuring that each EST asked the same questions, in the same order. Participants and research context Only our university hospital’s clinicians could request EST intervention. Ethical considerations The hospital Research Ethics Committee approved this study (no. CER-2020-107). The patient, his/her family, or designated representative was informed of this ethics consultation and most met with EST members, which enabled them to express their preferences and/or opposition. Findings/results 33 requests (patients’ mean age: 80.8 years; 29 had COVID-19: 24 with dyspnea, 30 with comorbidities). 17 Emergency Department solicitations concerned ICU admission, without reference to resource constraints; others addressed therapeutic proportionality dilemmas. Discussion Intervention-request motives concerned limited resources and treatment intensity. Management revolved around three axes: the treatment option most appropriate for the patient, the feasibility of implementation, and dignified care for the patient. Conclusions COVID-19 crisis forced hospitals to envisage prioritization of ICU access. Established decision-making criteria and protocols do not enable healthcare professionals to escape ethical dilemmas. That acknowledgement highlights ethical risks, enhances the added-value of nursing and encourages all players to be vigilant to pursue collective deliberations to achieve clear and transparent decisions. (shrink)

This is the obituary of Alice Thorner, an American scholar-specialist of the social history of India, who spent most of her career in France. She first worked with her husband, Daniel Thorner (1915-74), who briefly taught in Pennsylvania before being expelled from the USA by McCarthy. They lived in India from 1952 to 1960, where they worked on Land and Labor. They settled in Paris in 1960 when Daniel was appointed to the EPHE 6th section (now EHESS) where he (...) taught the economic (especially agrarian) history of India up to his death, and became a member of the Centre of Indian Studies created by Louis Dumont. Alice, who travelled to India every year, continued her own research on gender studies, on working-class women, and on the town of Bombay. This paper, written by a younger colleague and friend, uses personal anecdotes to sketch Alice’s career; it also lists her principal publications. (shrink)

In epistemology the nagging voice of the sceptic has always been present, whispering that 'You can't know that you have hands, or just about anything else, because for all you know your whole life is a dream.' Philosophers have recently devised ingenious ways to argue against and silence this voice, but Bryan Frances now presents a highly original argument template for generating new kinds of radical scepticism, ones that hold even if all the clever anti-sceptical fixes defeat the traditional (...) sceptic. Sharp, witty, and fun to read, Scepticism Comes Alive will be highly provocative for anyone interested in knowledge and its limits. (shrink)

In Intricate Ethics, Kamm questions the moral importance of some non-consequentialist distinctions and then introduces and argues for the moral importance of ...

This volume continues the examination of issues of life and death which F.M. Kamm began in Morality, Mortality, Volume I. Kamm continues her development of a non-consequentialist ethical theory and its application to practical ethical problems. She looks at the distinction between killing and letting die, and between intending and foreseeing, and also at the concepts of rights, prerogatives, and supererogation. She shows that a sophisticated non-consequentialist theory can be modelled which copes convincingly with practical ethical issues, and throws considerable (...) light on some of the key distinctions and concepts of ethical discourse. (shrink)

Much of computational cognitive science construes human cognitive capacities as representational capacities, or as involving representation in some way. Computational theories of vision, for example, typically posit structures that represent edges in the distal scene. Neurons are often said to represent elements of their receptive fields. Despite the ubiquity of representational talk in computational theorizing there is surprisingly little consensus about how such claims are to be understood. The point of this chapter is to sketch an account of the nature (...) and function of representation in computational cognitive models. (shrink)

Placing Bruno—both advanced philosopher and magician burned at the stake—in the Hermetic tradition, Yates's acclaimed study gives an overview not only of Renaissance humanism but of its interplay—and conflict—with magic and occult practices. "Among those who have explored the intellectual world of the sixteenth century no one in England can rival Miss Yates. Wherever she looks, she illuminates. Now she has looked on Bruno. This brilliant book takes time to digest, but it is an intellectual adventure to read it. Historians (...) of ideas, of religion, and of science will study it. Some of them, after reading it, will have to think again.... For Miss Yates has put Bruno, for the first time, in his tradition, and has shown what that tradition was."—Hugh Trevor-Roper, _New Statesman_ "A decisive contribution to the understanding of Giordano Bruno, this book will probably remove a great number of misrepresentations that still plague the tormented figure of the Nolan prophet."—Giorgio de Santillana, _American Historical Review_ "Yates's book is an important addition to our knowledge of Giordano Bruno. But it is even more important, I think, as a step toward understanding the unity of the sixteenth century."—J. Bronowski, _New York Review of Books_. (shrink)

Frances Tustin's classic text _Autistic States in Children_ put forward convincing clinical evidence that some forms of childhood autism are psychogenic and respond to methods of treatment very different from the behavioural techniques often adopted without success. Her pioneering work with such children has gained ground since the book was first published and she herself has revised her understanding of the aetiology of psychogenic autism. This revised edition of the book incorporates her new thinking based on recent infant observational (...) studies and her own clinical experience. (shrink)

This is a short essay that presents what I take to be the main questions regarding the epistemology of disagreement.

Businesses promote their environmental awareness through green buildings, eco-labels, sustainability reports, industry pledges and clean technologies. When are these symbols wasteful corporate spin, and when do they signal authentic environmental improvements? Based on twenty years of research, three rich case studies, a strong theoretical model and a range of practical applications, this book provides the first systematic analysis of the drivers and consequences of symbolic corporate environmentalism. It addresses the indirect cost of companies' symbolic actions and develops a new concept (...) of the 'social energy penalty' - the cost to society when powerful corporate actors limit the social conversation on environmental problems and their solutions. This thoughtful book develops a set of tools for researchers, regulators and managers to separate useful environmental information from empty corporate spin, and will appeal to researchers and students of corporate responsibility, corporate environmental strategy and sustainable business, as well as environmental practitioners. (shrink)

If you retain your belief upon learning that a large number and percentage of your recognized epistemic superiors disagree with you, then what happens to the epistemic status of your belief? I investigate that theoretical question as well has the applied case of philosophical disagreement—especially disagreement regarding purely philosophical error theories, theories that do not have much empirical support and that reject large swaths of our most commonsensical beliefs. I argue that even if all those error theories are false, either (...) (a) the average philosopher’s true commonsensical beliefs are epistemically impoverished, or (b) a good portion of philosophy is bunk and philosophers should give up most of their error theories despite the fact that their supporting arguments are generally as good as or even better than other philosophical arguments. (shrink)